Individual
LESLYE M EAMON PADILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
11800 PRINCESS JEANNE AVE NE, ALBUQUERQUE, NM 87112-4426
(505) 830-3128
Mailing address
1321 E POPLAR ST, DEMING, NM 88030-4807
(575) 546-5951
(575) 546-5994
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C-3799
NM
Other
Enumeration date
01/08/2018
Last updated
01/08/2018
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